BACKGROUND Jaundice is a common problem in medical and surgical gastroenterological practice. The surgical jaundice can be caused by the obstruction of the bile duct as with gall stones, strictures, malignancy, such as cholangiocarcinoma (in which the jaundice is persistent and progressive), periampullary carcinoma, carcinoma gall bladder and carcinoma head of pancreas. The objective of this de...

INTRODUCTION Although duodenal diverticula are common, periampullary duodenal diverticula are rare. Periampullary duodenal diverticula are usually asymptomatic and may be difficult to diagnose and treat. However, they may present with massive bleeding, requiring prompt diagnosis. CASE PRESENTATION We report the case of a 71-year-old Asian woman with bleeding from a periampullary duodenal dive...

CONTEXT Pancreaticoduodenectomy is the gold standard for patients with resectable periampullary carcinoma. The protection of the anastomosis by positioning of an intraluminal stent is a technique used to lower the frequency of anastomotic fistulas. However the use of anastomotic stents is still debated and stent related complications are reported. CASE REPORT A fifty-three-year old male under...

410 patients were treated for pancreatic and periampullary carcinoma in 1968-1987 of whom 89 (21.5%) underwent resection. Hospital mortality decreased from 33% in 1968-1972 to 0% in 1983-1987, but the morbidity rate remained unchanged. The trends were similar in patients greater than or equal to 70 and less than 70 years of age. The pylorus-saving technique did not increase mortality, morbidity...

We describe an ultrasonographic "common channel" sign as the characteristic sonographic feature of malignant distal common bile duct (CBD) obstruction. Of 24 patients with obstructive jaundice due to distal CBD obstruction (pancreatic carcinoma 8, periampullary cancer 5, choledocholethiasis 10, CBD stricture due to pancreatitis 1) in whom the final diagnosis was proven at laparotomy, ultrasonog...

Villous adenomas of the duodenum behave in a manner similar to villous adenomas of the colon and rectum, having both a high rate of recurrence after local treatment and a high incidence of malignant transformation. Villous adenomas of the duodenum are the most common benign periampullary neoplasms. They are considered as premalignant lesions with a malignant transformation rate as high as 60%. ...

BACKGROUND Primary squamous cell carcinoma of the ampulla of Vater is a very rare type of tumor, and the prognosis is not well known mainly due to a limited number of cases reported. Here, we aimed to report a case with primary squamous cell carcinoma of the ampulla of Vater. CASE PRESENTATION A 54-year-old woman presented with weight loss, jaundice, and pain in the epigastric and right upper...

Background: Pancreaticoduodenectomy or Whipples’s procedure is done for pancreatic carcinoma, bile duct carcinoma, duodenal carcinoma and periampullary carcinoma. About 5% of the gastrointestinal malignancy is constituted by the ampullary and periampullary carcinoma. Histopathological studies related to the diagnosis, grade, stage, nodal status, marginal status, prognosis and incidence of these...

CONTEXT Neuroendocrine tumors of the pancreatic ampulla are uncommon. The final diagnosis is based on histology, and at times, it may be difficult to diagnose them pre-operatively since they present with a similar clinical picture to adenocarcinomas of this region. OBJECTIVE To identify neuroendocrine tumors of the ampulla, as well as their presentation and management. DESIGN A retrospectiv...